Health Plans

Wouldn’t it be refreshing to have a conversation with someone who understands your business and can implement solutions that fit the unique needs of your organization?

Today’s healthcare market is changing rapidly, so you need a different kind of partner. One that understands your business, all of the challenges you face, and the interrelated nature of many of these challenges.

    At a glance

    Baker Tilly is focused on delivering high-value  solutions in the areas of Medicare Advantage (MA) and Affordable Care  Act  (ACA)  Risk  Adjustment,  Value based Payment Transformation and  enablement  of  Payer/Provider  Partnerships  across  all  customer segments, and Consumer Engagement.

    We can help you  align  the  significant  number  of  business  and technical options facing your organization, and in collaboration – bring all the pieces  together  to  architect, design and build the right solutions for you, creating a unique and sustainable competitive advantage for your plan.

    We can help your organization stay competitive with specialists who have a deep understanding of and significant experience with health insurance organizations and the broader healthcare ecosystem. Baker Tilly’s specialized professionals understand the interconnected nature of the key challenges facing health plans in today’s market.

    Baker Tilly can help you align the significant number of business and technical options facing your organization and – in collaboration with you – bring all the pieces together to architect, design and build the right solutions for you.

    The pace of change in today’s healthcare market is accelerating. From the constant uncertainty in regulatory mandates, increasing demands to deliver sustainable reductions in medical expenses and higher expectations for consumer-centric services and solutions, to the growing threat of large-scale disruption from insurtech and inter-industry mergers and acquisitions, health insurance companies need accounting and consulting specialists with deep knowledge and experience in both healthcare and insurance.

    Baker Tilly’s specialized professionals understand the interconnected nature of the key challenges facing our clients. We provide financial health services that establish a solid fiscal and regulatory base by enhancing an organization’s operations.

    Our solutions

    This continuous cycle of improvement enables our clients to drive profitable growth.

    Our clients

    They are more than consultants. The Baker Tilly team raised the quality of our internal audit and risk management functions and helped us through the change management required to ensure success. We are extremely pleased with their work.
    Craig Campbell, Chief Administrative and Risk Officer, WPS Health Solutions, Wisconsin Physicians Service Insurance Corp.
    The transition of our audit work to Baker Tilly was easy, with no disruptions to our business. Because they know our world, we don’t have to answer unnecessary questions. Their experienced professionals are able to bring practical tax and accounting solutions to our complex business.
    Jon Gangelhoff, Chief Operating Officer, GWG Holdings, Inc. and GWG Life

    By the numbers

    5

    5th largest health insurance auditor (A.M. Best 2019)

    7

    7th largest insurance auditor (Aon Ward Benchmarking 2018)

    11

    11th largest P&C insurance auditor (A.M. Best 2019)

    60%

    Working or qualified to work in 60% of states using external specialists[

    Data Infrastructure Challenges for Health Plans Today